NICHOLAS DAVID KRAUSE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051539

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

DAVID

Last Name

KRAUSE

Suffix

Business Name

NICHOLAS DAVID KRAUSE MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006